Provider Demographics
NPI:1841535689
Name:CARICO
Entity type:Organization
Organization Name:CARICO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GERENTE
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-614-7902
Mailing Address - Street 1:SAN FERNANDO
Mailing Address - Street 2:EDF 8 APT 169
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-619-2767
Mailing Address - Fax:
Practice Address - Street 1:SAN FERNANDO
Practice Address - Street 2:EDF 8 APT 169
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-619-2767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARICO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty